FAMILY APPLICATION

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Apply For A Magnolia Heart Nanny

Magnolia Heart Nanny Service only refers the most qualified, trustworthy Nannies to meet the childcare needs of our families. Our Nannies are enthusiastic, trustworthy, and reliable professionals who have a genuine love for the nurturing and care of children. Magnolia Heart Nanny Service is a full-service agency that can do the work for you, ensuring that adding a Nanny to your family will be a seamless process! We offer a variety of plans to provide as much (or as little) support as you need to find the Nanny of your dreams! Every client has unique needs. We are committed to connecting families to the Nanny that meet’s YOUR family’s specific needs!

Please see our pricing for your area (Click “Find a Nanny” in Atlanta, Columbus & Beyond ). After your family consultation (by phone or in-person) you will be emailed an invoice for a non-refundable $300 deposit, to begin your Nanny Services. After your deposit is paid, our placement specialists can begin to help you find your perfect nanny! The deposit will be applied towards your nanny package after you select your nanny.

*Facebook share discount and Summer Nanny Special cannot be used synonymously.

Applying for a Nanny? Click “Family Application” below.

Want to become a Nanny? Click “Nanny Application” below.

Registration Application

If you are human, leave this field blank.

Which application would you like to complete?
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Family Application

Nanny Application

1 of 6: Family's Information

Parent/Guardian 1
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Parent/Guardian 1: Last Name
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Parent/Guardian 1: Role
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Mother

Father

OtherOther

Parent/Guardian 1: Role

Address
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Street 2
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City
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City

State
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State

Zip
*

Zip

Home Phone

Mobile Phone
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Work Phone

Email Address
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Occupation/Employer’s Name

What is the best way to contact you?
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Parent/Guardian 2

Parent/Guardian 2: Last Name

Parent/Guardian 2: Role

Mother

Father

OtherOther

Parent/Guardian 2: Role

Address (If Different)

Street 2

City

City

State

State

Zip

Zip

Home Phone

Mobile Phone

Work Phone

Email Address

Occupation/Employer’s Name

Does either parent work from home?
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Yes

No

Describe the work that is done from home.
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2 of 6: Children's Information

Child's First Name
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Child's Last Name
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Gender
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Male

Female

Age
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Grade
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Do any of your children have medical conditions or special needs? If yes, please explain.
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All Magnolia Heart Nannies start at $12/hr. and wages are based on experience, education, and training

Are you willing to offer/consider benefits to your Nanny?
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Yes

No

Please explain.

5 of 6: Other Information

When will you need a nanny to start?
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Is this a short term (< 1 year) or long-term (1 year or more) position?
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Short Term

Long Term

Do you require the Nanny to have her own car?
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Yes

No

Do you live near public transportation?
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Yes

No

Do you require the Nanny to transport children in her own car?
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Yes

No

If yes, how is the Nanny compensated for work related driving?

Do you have any other information that will help our placement specialist to connect you with a Magnolia Heart Nanny?
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6 of 6: Family References

Please include previous nanny or childcare providers if possible

Reference 1
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Street Address

Address 2

City

City

State

State

Zip

Zip

Phone Number
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Relationship
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Reference 2
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Street Address

Address 2

City

City

State

State

Zip

Zip

Phone Number
*

Relationship
*

Nanny Application

Name
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Last Name
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Referred By

Date

Street Address
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Address 2

City
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City

State
*

State

Zip
*

Zip

How long at this address?
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If less than 2 years, please enter previous address below.

Previous Address

Address 2

City

City

State

State

Zip

Zip

Home Phone

Mobile Phone
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Email Address
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Are you legally eligible to work in the US?
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Yes

No

If selected for employment are you willing to submit to a background check?
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Yes

No

Social Security Number

This is required to perform your background check.

Confirm Social Security Number

Confirm SSN

Driver's license number
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Issuing State
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Do you own a reliable vehicle?
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Yes

No

Vehicle's Make & Model

Proof of valid driver’s license and insurance must be provided upon request)

Job Details

Magnolia Heart Nanny Services is committed to offering positions that are rewarding, enjoyable, and safe. Not every family is the right match for every nanny. In order to successfully match our Nannies with families, we need to know what is most desirable for you. If you are upfront about your wishes and willing to wait for the BEST MATCH (not the first available) we promise you will find fulfillment for many years to come with the right family.

What is your primary language?
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Other languages spoken

What is your desired weekly salary?
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What is your desired hourly salary?
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Which job(s) are you applying for?
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Live-In Nanny

Live-Out Nanny

Full-time

Part-time

Date Night

Float Nanny

Family Share

Travel Companion

Sightseer Nanny

See the "Types of Nannies" page for details.

Is your schedule flexible?
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Very flexible

Somewhat flexible

Not flexible

Availability
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Monday - Friday

Weekends

Weeknights

OtherOther

Are you willing to travel with the family?
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Yes

No

How long would you like to work in this position?
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6 Months

1 Year

2 Years or More

Do you require a vehicle to be provided?
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Yes

No

Are you willing to use your own vehicle for work related purposes?
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Yes

No

Are you comfortable transporting children in a vehicle?

Yes

No

Do you smoke?
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Yes

No

Do you drink alcohol?
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Yes

No

Socially

Can you swim?
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Yes

No

Are you a certified lifeguard?
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Yes

No

Is working in a house with pets okay?
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Yes

No

Are you allergic to dogs?
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Yes

No

Are you allergic to cats?
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Yes

No

Are you willing to do any of the following?
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Care for the family pet

Run errands

Participate in carpool

Do you have current CPR certification?
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Yes

No

Do you have current first-aid certification?
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Yes

No

What ages of children do you prefer to work with, and why?
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Maximum number of children you are willing to care for:
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Magnolia Heart Nanny Services may limit the number of children based on age (infants, toddlers, school age, etc.)

Do you have experience working for families with multiples?
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Yes

No

Would you care for twins?
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Yes

No

Will you work with children that have special needs?
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Yes

No

What experience do you have with special needs children?
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Are you most comfortable in a position where you direct the children’s daily schedule or a position where the parents leave a specific schedule for you to implement?
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Nanny directs the schedule

Parents direct the schedule

Education

Please provide copies of transcripts (as necessary) for verification

High School Attended
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Did you graduate?
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Yes

No

Year Graduated

Did you attend college?
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Yes

No

College Attended

Degree

Year Graduated

Please list any child related courses taken in college.

Previous Employment Experience

Please provide the following information as well as a minimum of three verifiable references, with at least one from the childcare industry.

Medical/Mental Health Information

In order to assure safe childcare we must know about medical and psychiatric conditions that could affect your ability to perform the job.

Are you presently suffering from any communicable disease(s) that could be transmitted to a child you are caring for?
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Yes

No

If yes, please describe:

Are you presently taking any medication(s), prescribed or not, that affect your judgment, coordination, levels of alertness and ability to respond in an emergency?
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Yes

No

Do you have any physical condition that might impair or prevent your ability to perform any reasonably physical act normally required in the care of children (including being able to lift up to 50 lbs.)?
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Yes

No

Are you able to be physically active for an extended period of time when required in your duties?
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Yes

No

Do you have any mental condition that might impair or prevent your ability to protect a child from harm or that could impair your judgment in any way?
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Yes

No

Emergency Contacts

Who do we call in an emergency? (*Must provide at least one emergency contact)